Individual
DR. CARLA LUISA PETTERKIN-CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2057
(718) 245-4744
Mailing address
213 BROOKSIDE AVE, ROOSEVELT, NY 11575-1939
(516) 377-6084
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
190955
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01612495
—
NY
Enumeration date
04/24/2006
Last updated
05/20/2015
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